Individual
KIMBERLY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 W VALLEY RD STE 703, WAYNE, PA 19087-1849
(484) 808-7671
Mailing address
2922 MAPLESHADE RD, ARDMORE, PA 19003-1821
(626) 244-5359
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
PA
Other
Enumeration date
05/09/2018
Last updated
08/04/2021
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